Sr. Manager, Compliance

Alignment HealthOrange, CA
1d

About The Position

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Senior Manager, Compliance will build and manage strategic partnerships with internal business units toward a common goal of enterprise-wide compliance excellence. The Senior Manager, Compliance will report to the Chief Compliance Officer and will have a diverse range of responsibilities associated with interpretation of state and federal regulations related to health care and Medicare Advantage Plans, improving collaboration and other aspects of embodying a culture of compliance. This is a challenging role will be responsible for creating, implementing and managing strategic compliance initiatives.

Requirements

  • 7 years’ experience in a risk, regulatory, audit, with strong preference for experience in the Healthcare industry.
  • Must have a BS/BA degree
  • Strong communications and presentation skills, with superb ability to drive change
  • Extensive knowledge and experience in operationalizing compliance programs; ability to independently design and build meaningful dashboards and metrics to drive process rigor
  • Experience building and executing risk assessments and implementing corrective action and remediation plans, including partnering with the business to execute on remediations.
  • Strong project management and prioritization skills demonstrated ability to effectively manage multiple tasks and priorities and drive change across a complex organization and multiple stakeholders.
  • Strong follow-up and attention to detail

Responsibilities

  • Drive/support AHP’s operational compliance programs and initiatives to identify and mitigate risk-assessed compliance priorities.
  • Build capacity and capability to work across multiple areas of compliance.
  • Design and perform comprehensive and independent audits and reviews of critical elements of AHP’s compliance work plan; propose and drive implementation of practical solutions to enhance the program, as applicable
  • Develop and execute plans to raise business awareness at the appropriate level of compliance issues.
  • Facilitate ongoing communication with business teams.
  • Ensure timely and adequate resolution of Corrective Action Plans
  • Use influencing skills to help gain buy-in from business owners on new processes and procedures
  • Drive continuous improvement and standardization across all projects
  • Build and maintain strong business relationships, working to partner cross-functionally to understand and address needs and roadblocks and facilitate change as appropriate.
  • Collaborate with AHP’s Delegation Oversight monitoring and auditing resources to create appropriate monitoring and auditing plans, remediation and to support investigations.
  • Ensure the CMS FTEAM Universe is properly updated and accurate
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